[Important alteration of the Dutch treatment algorithm in patients with type 2 diabetes mellitus] [0.03%]
[2型糖尿病患者的重要荷兰治疗算法改变]
Erik H Serné,Richard G IJzerman,J M Krijger-Dijkema et al.
Erik H Serné et al.
Recent trials of two classes of glucose-lowering drugs (SGLT2 inhibitors and GLP1RAs) have shown consistent cardiovascular and renal benefits that appear independent of glycaemic control. These results have prompted the Dutch College of Gen...
John M Beer
John M Beer
Much can be learned from the analysis of errors. All adverse events resulting in serious injury or death should be evaluated to assess whether improvements in the delivery system can be made to reduce the likelihood of similar events occurr...
[Experience of first COVID-19 patients in Northern part of the Netherlands: Information provision, source investigation, contact tracing and home isolation] [0.03%]
荷兰北部首批新型冠状病毒肺炎患者诊治经验：信息提供、流调溯源、密切接触者追踪及居家隔离
Marleen N Luning-Koster,Manna A Alma,Jossy van den Boogaard et al.
Marleen N Luning-Koster et al.
Objective: The aim of this study was to investigate how patients experience the information, the source investigation and contact tracing and the measures in isolation at the start of a pandemic. ...
[Mutations in the SARS-CoV-2 genome: the emergence of variants and the impact on vaccines] [0.03%]
[SARS-CoV-2基因组突变：新变异株的出现及其对疫苗的影响]
Nathalie Worp,Marion P G Koopmans,Ron A M Fouchier et al.
Nathalie Worp et al.
Almost two years after the introduction of SARS-CoV-2, it has become clear that the virus is unlikely to disappear any time soon. It is also clear that the virus mutates, resulting in specific variants of SARS-CoV-2. The exact implications ...
Wim Opstelten,Mente T Bousema
Wim Opstelten
A 73-year-old man consulted his general practitioner with a non-itchy rash on his lower legs, which developed a few hours after golfing. We saw a blotchy, red, non-blanchable discoloration with some blisters. Microscopic examination showed ...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2022 Jan 4:166:D6494. DOI: 2022
Iris Rose Peeters,A Martijn H Oude Voshaar,Anusha Moses et al.
Iris Rose Peeters et al.
Gout is characterized by acute arthritis due to the deposition of urate crystals in joints in a state of hyperuricemia. Gout is a clinical diagnosis and can be confirmed with a joint aspiration to examine the synovial fluid with a polarized...
Melita van der Mersch,Caren Velink
Melita van der Mersch
Rarely does a physician experience disciplinary proceedings as beneficial. In most cases, the impact of a disciplinary procedure is big, even if the disciplinary complaint is declared unfounded. This article discusses the experiences of phy...
Lisa Strauven,Sander van der Wolk,Anouk J W Gulpen
Lisa Strauven
A 53-year-old man, diagnosed with Covid19, experienced pain in the left flank. Imaging results showed multiple spleen infarction. While thrombotic events are common complications in Covid19, diagnosing and imaging a spleen infarction is rat...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2022 Jan 6:166:D6381. DOI: 2022
Koen A M van Helmond,Sjoerd O Hobma,Jochen W L Cals
Koen A M van Helmond
A59-year-old patient reports back to general practice with a burning sensation at the ankle a few hours after a partial nail extraction with phenolization of the nail bed. There is a chemical burn caused by a drop of phenol spilt during the...
Case Reports
Nederlands tijdschrift voor geneeskunde. 2021 Dec 9:166:D6539. DOI: 2021
[Antibiotic treatment shorter with procalcitonin algorithm: holy grail or not so perfect after all?] [0.03%]
[降阶梯治疗让抗生素使用周期缩短，是理想目标还是不太完美？]
Mark G J de Boer
Mark G J de Boer
Reducing unnecessarily long antibiotic treatments is an imperative effort in the context of antibiotic stewardship. As every infectious entity shows substantial heterogeneity in the degree of severity and extent of disease, ideally the dura...